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Nutrition and Equality: Brazil’s
Success in Reducing Stunting
among the Poorest
Meagan Keefe
http://nourishingmillions.ifpri.info/
Brazil
Rapid advances in economic development and healthcare in Brazil have
contribu...
http://nourishingmillions.ifpri.info/
Brazil
Factors contributing to success
• A range of policies were implemented betwee...
http://nourishingmillions.ifpri.info/
Brazil: Lessons learned
• Expanding and better targeting pro-poor social
assistance ...
Chapter 11: Nutrition and equality: Brazil’s success in reducing stunting among the poorest [Nourishing Millions]
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Chapter 11: Nutrition and equality: Brazil’s success in reducing stunting among the poorest [Nourishing Millions]

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RAPID ADVANCES IN economic development and healthcare in Brazil have contributed to significant improvements in child health and nutrition in recent decades. Brazil met Millennium Development Goal 1—halving the proportion of people whose income is less than $1 a day and halving the proportion of people who suffer from hunger, and Goal 4—reducing by two-thirds the under-five mortality rate. Beyond significant advances in reducing poverty and improving food and nutrition security throughout the country, Brazil has also been successful in reducing socioeconomic inequality in malnutrition. What lies behind this success? This case study examines the policies, approaches, and process that contributed to the reduction in child stunting and other key indicators of malnutrition.

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Chapter 11: Nutrition and equality: Brazil’s success in reducing stunting among the poorest [Nourishing Millions]

  1. 1. Nutrition and Equality: Brazil’s Success in Reducing Stunting among the Poorest Meagan Keefe
  2. 2. http://nourishingmillions.ifpri.info/ Brazil Rapid advances in economic development and healthcare in Brazil have contributed to significant improvements in child health and nutrition in recent decades. The country has also been successful in reducing socioeconomic inequality in malnutrition. Impact • Prevalence of child stunting reduced from 37% to 7% from 1974/5-2006/7 • Exclusive breastfeeding in infants <6 mths increased from 27% to 41% from 1999-2008 in Brazil’s 27 state capitals and partial breastfeeding increased from a medium duration of 2.5 mths in the 1970s to 14 months in 2006/7 • Children from poor families were 7.7x more likely than children from wealthy families to be stunted in 1989, but by 2007/8 children from poor families were only 2.6 times more likely to stuffer stunting
  3. 3. http://nourishingmillions.ifpri.info/ Brazil Factors contributing to success • A range of policies were implemented between 1996 and 2007 to ensure universal access to primary education and to improve the quality of primary and secondary schools across all municipalities. • The government consolidated its cash transfers for health and nutrition and linked smallholder farmers to food-based social protection programs. • Radical decentralization of the health sector allowed for greater stakeholder participation and support for national health policy implementation at all levels of government. • Access to improved sources of drinking water increased and sanitation services expanded. Ministério do Desenvolvimento social e Combate à Fome/S. Amaral
  4. 4. http://nourishingmillions.ifpri.info/ Brazil: Lessons learned • Expanding and better targeting pro-poor social assistance programs accelerated progress in reducing poverty, which contributed to reductions in malnutrition. • A multisectoral approach to program delivery combined with funding mechanisms to promote cooperation between ministries at local levels supported poverty alleviation and reduction of undernutrition. • Civil society played a central role in bringing food and nutrition security to the national agenda and later in designing and implementing nutrition policies.Reuters/N. Doce

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